Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anna C Long, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063611903

Anna C Long, PMHNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2007, 19 years ago. Practices with Moonshot Psychiatric Nurse Practitioner PC, a 76-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
19
Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

3456 SE Harold Ct
Portland, OR 97202-4342
Phone: (855) 444-7258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 200750076NP (OR)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 200750076NP (OR)

Record details

NPI number1063611903
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Moonshot Psychiatric Nurse Practitioner Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Colleagues at Moonshot Psychiatric Nurse Practitioner PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 76 clinicians in the practice; 12 are shown here.

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